Organization
NW CANTRELL LLC
Active
Other names
Express Rx on Cantrell
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR FAROOQ (PRESIDENT)
(501) 392-8680
Entity
Organization
Contact information
Practice address
7612 CANTRELL RD, LITTLE ROCK, AR 72227-3320
(501) 227-0587
(501) 227-0714
Mailing address
PO BOX 34407, PMB 53760, LITTLE ROCK, AR 72203-4407
(501) 534-4459
(501) 534-4460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20737
AR
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201006407
—
AR
01
—
2143764
PK
—
Enumeration date
12/03/2013
Last updated
11/18/2025
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